Deer Park Medical, P.c.

NPI #1518232115 in Deer Park, New York

Provider Information

NPI Number
1518232115
Entity Type
Organization
Organization Name
Deer Park Medical, P.c.
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Mar 14, 2012
Last Updated
Mar 14, 2012

Practice Location

Address
2103 DEER PARK AVE
ZIP Code
11729-1319
Phone
(631) 242-4500

Authorized Official

Name
MICHAEL DEMISHEV, M.D.
Title
PC OWNER
Phone
(631) 242-4500

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Physical Medicine & Rehabilitation

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